Guideline SupportedFamily therapyPsychosis

Family Intervention for Psychosis(FIp)

Last evidence review: January 20265 printable resources

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Overview

Family Intervention for psychosis is a structured therapy that supports families to reduce relapse risk and improve outcomes through psychoeducation, communication skills, and problem-solving.

What this therapy focuses on

Reducing high-stress interaction patterns (expressed emotion), improving family understanding of psychosis, creating relapse prevention plans, and strengthening supportive communication.

What sessions are usually like

Session length: 60–90 minutes

Time-limited programmes: 10–20 sessions

May include single-family or multi-family group formats

Includes the person with psychosis and key family members

Session profile

Duration: 60–90 minutes
Frequency: Weekly or fortnightly
Typical course: 10–20 sessions
Between sessions: Communication practice, relapse prevention planning

Common uses and suitability

What problems it is commonly used for

Psychosis and schizophrenia (relapse prevention)Family support for first episode psychosisReducing family stress and improving coping

Who this therapy may suit best

  • Families of people with psychosis who want to understand and support recovery
  • Where family relationships affect relapse risk

When it may need adapting or may not be suitable

  • Acute psychosis without stabilisation
  • Domestic violence within the family

Where this therapy may not be enough

FIp is designed as an adjunct to other psychosis treatments. Not a standalone intervention.

What happens in therapy

Psychoeducation

Learning about psychosis together as a family — what it is, how it affects people, and what helps recovery.

Communication Skills Training

Practising ways of communicating that support recovery rather than adding stress.

Evidence Base

Guideline support

Strong. NICE CG178 recommends family intervention for all people with psychosis.

Strength of evidence

Moderate to strong for relapse reduction. Multiple meta-analyses demonstrate significant reductions in relapse rates.

Limitations

Fidelity matters. Engagement can be challenging. Service capacity is often limited.

Evidence claims by condition

Psychosis Relapse PreventionGuideline SupportedFamilies

Family intervention helps reduce the risk of psychosis relapse by improving family understanding and communication.

Resources & Printables

Practitioner & Training Notes

Typical professional background

Mental health professionals (psychologists, nurses, social workers) with family intervention training.

Recognised training routes

Family intervention training through NHS trusts and specialist training providers. Often part of early intervention in psychosis service training.

Registration considerations

Core professional registration plus FIp-specific training.

Source Registry

Psychosis and schizophrenia in adults: prevention and management (CG178)
NICEGuidelineUKChecked: 2026-01-28

Link and cite.

Last evidence review: January 2026. All sources are verified and checked on a scheduled cadence.